Page | 1
Nurs550 Midterm Questions and Answers
(Expert Solutions)
Q: gallbladder disease risk factors, 🗹🗹: family hx, diet-fatty foods, female,
Q: Gallbladder disease- subjective symptoms, 🗹🗹: pain in RUQ which radiates to R
Shoulder, report of N/V, subjective fever
Q: Gallbladder disease- objective symptoms, 🗹🗹: + Murphys sign, fever, jaundice
Q: Gallbladder disease diagnostics, 🗹🗹: RUQ ultrasound (first), HIDA scan- if
negative U/S but symptoms persist, elevated liver
enzymes/lipase/amylase/leukocytosis
Q: Pancreatitis risk factors, 🗹🗹: ETOH abuse, some diabetic meds, older patients,
HLD, renal transplant patients
Q: Pancreatitis subjective findings, 🗹🗹: severe RUQ pain/or-epigastric pain and
radiates to the back
Q: Pancreatitis objective findings, 🗹🗹: Abdominal tenderness, abdominal distension,
hypoactive bowel sounds. s/s-shock poor prognosis
Q: Pancreatitis diagnosed by, 🗹🗹: CBC to rule out infection, Elevated amylase (3x
higher than normal), increased lipase, if leukocytosis- draw CRP-if positive think ,
sometimes elevated LFT, necrotizing pancreatitis. Upright abdominal film, CT of
abdomen
Q: normal lipase, 🗹🗹: 0-160
, Page | 2
Q: Lipase levels in acute pancreatitis, 🗹🗹: 3-4x normal level
Q: Normal WBC count, 🗹🗹: 4,000-11,000
Q: Leukocytosis, 🗹🗹: Abnormally high WBC count, greater than 11k
Q: AST, 🗹🗹: Typically the range for normal AST is reported between 10 to 40 units
per liter
Q: ALT, 🗹🗹: ALT between 7 to 56 units per liter.
Q: GERD (gastroesophageal reflux disease) risk factors, 🗹🗹: weak LES, obesity,
NSAID
Q: GERD Subjective Data, 🗹🗹: heartburn, belching, wheezing cough
Q: GERD Objective Data, 🗹🗹: normal exam
Q: GERD diagnosis, 🗹🗹: PPI trial
Q: Peptic Ulcer Disease causes, 🗹🗹: - H. pylori infection, aspirin induced
- stress, smoking, age 50-55, systemic corticoid steroids
- hormones
Q: Peptic ulcer- subjective findings, 🗹🗹: weight loss, bloating, belching, pain
improves after eating
Q: peptic ulcer- objective findings, 🗹🗹: typically normal, possible abdominal
tenderness, if peritoneal signs consider rupture of ulcer
Nurs550 Midterm Questions and Answers
(Expert Solutions)
Q: gallbladder disease risk factors, 🗹🗹: family hx, diet-fatty foods, female,
Q: Gallbladder disease- subjective symptoms, 🗹🗹: pain in RUQ which radiates to R
Shoulder, report of N/V, subjective fever
Q: Gallbladder disease- objective symptoms, 🗹🗹: + Murphys sign, fever, jaundice
Q: Gallbladder disease diagnostics, 🗹🗹: RUQ ultrasound (first), HIDA scan- if
negative U/S but symptoms persist, elevated liver
enzymes/lipase/amylase/leukocytosis
Q: Pancreatitis risk factors, 🗹🗹: ETOH abuse, some diabetic meds, older patients,
HLD, renal transplant patients
Q: Pancreatitis subjective findings, 🗹🗹: severe RUQ pain/or-epigastric pain and
radiates to the back
Q: Pancreatitis objective findings, 🗹🗹: Abdominal tenderness, abdominal distension,
hypoactive bowel sounds. s/s-shock poor prognosis
Q: Pancreatitis diagnosed by, 🗹🗹: CBC to rule out infection, Elevated amylase (3x
higher than normal), increased lipase, if leukocytosis- draw CRP-if positive think ,
sometimes elevated LFT, necrotizing pancreatitis. Upright abdominal film, CT of
abdomen
Q: normal lipase, 🗹🗹: 0-160
, Page | 2
Q: Lipase levels in acute pancreatitis, 🗹🗹: 3-4x normal level
Q: Normal WBC count, 🗹🗹: 4,000-11,000
Q: Leukocytosis, 🗹🗹: Abnormally high WBC count, greater than 11k
Q: AST, 🗹🗹: Typically the range for normal AST is reported between 10 to 40 units
per liter
Q: ALT, 🗹🗹: ALT between 7 to 56 units per liter.
Q: GERD (gastroesophageal reflux disease) risk factors, 🗹🗹: weak LES, obesity,
NSAID
Q: GERD Subjective Data, 🗹🗹: heartburn, belching, wheezing cough
Q: GERD Objective Data, 🗹🗹: normal exam
Q: GERD diagnosis, 🗹🗹: PPI trial
Q: Peptic Ulcer Disease causes, 🗹🗹: - H. pylori infection, aspirin induced
- stress, smoking, age 50-55, systemic corticoid steroids
- hormones
Q: Peptic ulcer- subjective findings, 🗹🗹: weight loss, bloating, belching, pain
improves after eating
Q: peptic ulcer- objective findings, 🗹🗹: typically normal, possible abdominal
tenderness, if peritoneal signs consider rupture of ulcer
